47 research outputs found
Effect of Isokinetic Training on Quadriceps Muscle Strength in Osteoarthritis of Knee
No full textKnee Osteoarthritis is twice as common as hand or hip osteoarthritis with an incidence of 240 out of 100,000
population/ year affecting about 15% of the human population globally. The aim of the present study was to
investigate the role of Isokinetic Training and EMG biofeedback training in improving strength of quadriceps
femoris in participants with Osteoarthritis of knee. Fifty four participants in the age range of 50-63 years with
knee Osteoarthritis of Grade II and III (Kellgren-Lawrence criteria) severity were recruited from the Department
of Orthopedics, Hospital Universiti Sains Malaysia. The strength of quadriceps femoris was assessed at baseline
employing the isokinetic device BIODEX 4 System Pro. The participants were randomly categorized into three
groups (Gr.) Viz. Gr. A (conventional physiotherapy), Gr. B (isokinetic training) , Gr. C (EMG Biofeedback)
and thus each group consisted of 18 participants. All the interventions were imparted for 25 - 30 minutes per
session; 2 sessions per week for 10 weeks (20 sessions). Mid term evaluation was done at the 5th week, post
intervetnion assessment at the end of 10 the week of intervention and follow up at 14th and 18th week.
Quadriceps muscle strength improved in all the intervention groups. Two-way repeated measure of ANOVA
revealed that, the average peak torque of quadriceps femoris at 180 degree/ second was significantly higher
(p<0.05) in participants of the isokinetic training group compared with that of the participants of the
conventional physiotherapy and EMG Biofeedback group. Isokinetic Training was effective in enhancing the
muscle-strength in participants suffering from Osteoarthritis of knee
Differential rehabilitative approaches to osteo arthritis of knee - A case report
No full textOsteoarthritis is a degenerative joint disease. It affects the weight bearing joint. Osteoarthritis of knee and hip are very common amongst all the other forms of osteoarthritis. This case report explains the treatment of a patient who had symptoms and signs suggestive of osteoarthritis of knee. She complained of pain in both the knees, but more on the right side, early morning stiffness, difficulty in walking and limitation of functional activities. This case report emphasises the role of physical therapy in the rehabilitation of the patient with osteoarthritis of knee. This case report suggests that appropriate treatment techniques will prevent the worsening of the severity of the problem and also avoid or postpone the option of a surgical intervention
Beneficial Impacts Of Psychobiological Conditioning Observed On Movement Coordination In Athletes
No full textThis study was conducted to investigate the role of biofeedback
interventions carried out in different modalities, with an objective to
improve movement coordination in athletes. Sixty-nine young male
recreational athletes (matched in anthropometric, cardiovascular and
performance status) identified as having disrupted emotionality and
deficiency in movement coordination were recruited as participant.
Participants were subjected to assessment of psychobiological (skin
conductance or Sc orienting reflex activity judged by ERP of
autonomic and peripheral measures of arousal) and psychomotor
attributes (lateral motor control and bilateral movement coordination
parameters) in relation to performance excellence in soccer.
Participants were categorised into three groups, viz. Group A nointervention
control group, Group B experimental group I (received
Sc biofeedback training) and Group C experimental II (received
electromyography or EMG biofeedback training). Interventions
followed for 15 minutes/ session, 2 sessions/week for 16 weeks. After
the eighth week of intervention, mid-term analysis on all the
parameters was carried out, and the post-intervention analyses were
done after the 16th week of intervention. Furthermore, to evaluate the
level of sustainability, post follow-up analysis of all the parameters of
the baseline assessment as conducted to the participants. Two-way
repeated measure of ANOVA revealed that both Sc and EMG
biofeedback were found to facilitate in movement coordination, while
Sc biofeedback training appeared as better effective technique in
improving left and right lateral motor coordination and bilateral
movement coordination performed in clockwise direction. Findings
however clarified impact of enhanced psychobiological competence
on improvement in movement coordination evident among Malaysian
recreational athletes
Effect of Isokinetic Training on Quadriceps Muscle Strength in Osteoarthritis of Knee
No full textPressure Ulcer (PU) is a common health problem particularly among the physically limited or bedridden and the
group most vulnerable to suffer this condition is the frail elderly. The Objective was to determine the efficacy of
using the Cavilon cream plus the PU prevention intervention in reducing the progress of PU development
among Geriatric inpatient in both groups. Using the Quasi experimental study design, where the participants
were divided into two groups. The test group received the Durable barrier cream (Cavilon cream) plus the
pressure ulcer prevention intervention as per protocols which linked to Braden risk score (AHCPR 1992
pressure ulcer protocol prevention) whilst the control group received the pressure ulcer prevention intervention
as per protocols linked to Braden risk score only. Independent t-test were conducted, the mean different between
test and control group was 4.02 and the standard deviation different between test and control group 0.5. The p
value for the equality mean is 0.00, which is less than 0.05, 95% CI (2.72 – 5.31), which did not include 0,
therefore there is a significant different in the change score between test and control group. The change in test
group is much higher compare to control grou
Prevention of Pressure Ulcer Among Acute Hospitalized Elderly Using Pharmacologic (Cavilon Cream) Vs. Non-Pharmacologic Alone: A Quasi Experimental Study
No full textPressure Ulcer (PU) is a common health problem particularly among the physically limited or bedridden and the
group most vulnerable to suffer this condition is the frail elderly. The Objective was to determine the efficacy of
using the Cavilon cream plus the PU prevention intervention in reducing the progress of PU development
among Geriatric inpatient in both groups. Using the Quasi experimental study design, where the participants
were divided into two groups. The test group received the Durable barrier cream (Cavilon cream) plus the
pressure ulcer prevention intervention as per protocols which linked to Braden risk score (AHCPR 1992
pressure ulcer protocol prevention) whilst the control group received the pressure ulcer prevention intervention
as per protocols linked to Braden risk score only. Independent t-test were conducted, the mean different between
test and control group was 4.02 and the standard deviation different between test and control group 0.5. The p
value for the equality mean is 0.00, which is less than 0.05, 95% CI (2.72 – 5.31), which did not include 0,
therefore there is a significant different in the change score between test and control group. The change in test
group is much higher compare to control group. This study shows that the use of Cavilon cream does improve
PU prevention among hospitalize elderly
A Multivariate Analysis Of Cardiopulmonary Parameters In Archery Performance
No full textPurpose. The aim of this investigation was to determine the most significant cardiopulmonary parameters bound with
high archery scores and to assess their relationship with successful performance in archery.
Methods. The total of 32 archers with mean age of 17 ± 0.56 years were gathered from dissimilar archery programmes.
Cardiopulmonary parameters were measured prior to shooting tests. Multivariate techniques of principal component
analysis (PCA), hierarchical agglomerative cluster analysis (HACA), and discriminant analysis (DA) were used to analyse
the data collected.
Results. The initial PCA identified 4 parameters with a higher eigenvalue (> 1). However, PCA after varimax rotation indicated
4 varifactors with high positive loadings, containing 3 respiratory parameters: forced vital capacity (FVC; 0.83),
maximum voluntary ventilation (MVV; 0.83), and peak expiratory flow rate (PEFR; 0.87); 2 pressure parameters: resting
diastolic blood pressure (RDBP; 0.78) and resting systolic blood pressure (RSBP; 0.88); 1 volume parameter: inspiratory
reserve volume (IRV; 0.86); and 1 rate parameter: resting respiratory rate (RRR; 0.87). HACA divided the archers into 2 categories
on the basis of their performance on the most needed parameters; these were high-optimum pulmonary capacity archers
(HOCA) and low-optimum pulmonary capacity archers (LOCA). Standard, backward stepwise, and forward stepwise DA
discriminated the classes from the 7 parameters with remarkable accuracy (90.63%, 93.75%, and 96.88%, respectively) for
each method, confirming the classification provided by HACA.
Conclusions. It is obvious from the current outcomes that such cardiopulmonary parameters as good FVC, MVV, PEFR,
IRV, RRR, and optimal RSBP and RDBP are necessary for better archery performance
Fiscal Federalism and Decentralization in India
No full textThis paper surveys the state of fiscal federalism in India, in the broader context of decentralization. We begin with an overview of the basic features and recent developments in intergovernmental fiscal relations, including the role of political institutions, the specifics of legislative and budgetary autonomy, assignments of expenditure responsibility and revenue authority, revenue collection mechanisms, the system of intergovernmental transfers, and institutions and mechanisms for borrowing by subnational units. We then provide a diagnosis of accountability mechanisms, examining their quality of functioning and distortions and constraints. In particular, we analyze to what extent, and through what mechanisms, lower-level governments are held accountable to higher-level governments, the extent to which policies of subnational governments are affected by the competition for mobile firms, taxpayers, and investment capital, the functioning of credit markets, including the responsiveness of subnational governments to credit ratings and bond yields, and the role of democratic electoral channels at national and subnational levels in providing accountability in the provision of subnational public goods. Next, we review the implications of the intergovernmental system and accountability mechanisms on the cooperation of subnational governments and the quality of service delivery. We examine the resources and capacity of the subnational entities that are responsible for key services such as water, sanitation, education and health care, and the impacts of decentralization on service quality and the distribution of benefits among elected officials, citizens and interest groups. Finally, we offer a concluding assessment with suggestions for reform priorities.federalism; decentralization; intergovernmental relations; economic reform; accountability; service delivery
Proprioception and Exercises in Individuals Suffering from Osteoarthrosis of Knee Joint: A Meta Analytic Review
No full textPresent study was done with an intention to look into the problem of osteoarthrosis (OA) with particular reference to etiological concerns and the diverse methods of therapeutic interventions introduced to OA patients, which were virtually aimed at minimization of their problems (such as pain; difficulty in movements; range of motion (ROM) and obviously the question of quality of life (QOL). In our present attempt, we wanted highlight on the methodological issues and ways to minimize the problems. We couldn’t go through in details of analyses in few of the sections, and some of the literatures were not reviewed considering the merits of introduction of medication along with the intervention techniques which have been discussed hereafter, and we beg to be excused for that. We hope discussions carried out in this literature would encourage more replicated and methodologically valid studies in this field of research
